How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $22.91 Median $22.91 Typical High $23.44 | Facility | None | $22.91 | $22.91 | $23.44 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $23.44 Typical High $23.44 | Professional | None | $22.91 | $23.44 | $23.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.39 Median $3.55 Typical High $3.55 | Professional | 55 · Aftercare only | $3.39 | $3.55 | $3.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.29 Median $2.34 Typical High $2.34 | Professional | 56 · Pre-op care only | $2.29 | $2.34 | $2.34 |
BCBS Michigan Setting Facility Modifier None Typical Low $30.20 Median $70.79 Typical High $134.90 | Facility | None | $30.20 | $70.79 | $134.90 |
BCBS Michigan Setting Professional Modifier None Typical Low $23.99 Median $25.12 Typical High $25.12 | Professional | None | $23.99 | $25.12 | $25.12 |
CareSource Setting Professional Modifier None Typical Low $25.12 Median $35.48 Typical High $35.48 | Professional | None | $25.12 | $35.48 | $35.48 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $22.39 Typical High $22.39 | Professional | None | $15.14 | $22.39 | $22.39 |
Health Alliance Plan Setting Facility Modifier None Typical Low $20.42 Median $61.66 Typical High $67.61 | Facility | None | $20.42 | $61.66 | $67.61 |
Health Alliance Plan Setting Professional Modifier None Typical Low $20.42 Median $22.91 Typical High $30.20 | Professional | None | $20.42 | $22.91 | $30.20 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $3.02 Median $3.02 Typical High $3.02 | Professional | 55 · Aftercare only | $3.02 | $3.02 | $3.02 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $2.04 Median $2.04 Typical High $2.04 | Professional | 56 · Pre-op care only | $2.04 | $2.04 | $2.04 |
Priority Health Setting Professional Modifier None Typical Low $15.14 Median $22.39 Typical High $22.39 | Professional | None | $15.14 | $22.39 | $22.39 |
United Setting Professional Modifier None Typical Low $10.96 Median $13.18 Typical High $19.05 | Professional | None | $10.96 | $13.18 | $19.05 |
1 more rate with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
BCBS Michigan Setting Professional Modifier RR · Rental Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | RR · Rental | $25.12 | $25.12 | $25.12 |
Where Michigan sits
The same service costs 2.5 times more in Hawaii than in Colorado. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Michigan· 12th of 51
$22.91
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.